Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.00 / $3,830.00 / $8,240.00	Facility		$976.00	$3,830.00	$8,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.30 / $547.95 / $814.36	Professional		$473.30	$547.95	$814.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,736.00 / $4,444.00 / $15,949.31	Facility		$3,736.00	$4,444.00	$15,949.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $567.04 / $588.45 / $1,000.50	Professional		$567.04	$588.45	$1,000.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $644.64	Facility		$644.64	$644.64	$644.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.59 / $661.37 / $1,133.69	Professional		$479.59	$661.37	$1,133.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $675.90 / $914.29 / $1,167.46	Professional		$675.90	$914.29	$1,167.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $4,597.00 / $8,404.00	Facility		$1,020.00	$4,597.00	$8,404.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.54 / $586.65 / $2,843.00	Professional		$501.54	$586.65	$2,843.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $594.10 / $594.10 / $1,154.30	Professional		$594.10	$594.10	$1,154.30
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $644.64 / $644.64 / $644.64	Facility		$644.64	$644.64	$644.64
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $488.59 / $666.71 / $1,133.69	Professional		$488.59	$666.71	$1,133.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $516.36 / $547.92 / $547.92	Facility		$516.36	$547.92	$547.92
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $516.36 / $547.92 / $584.40	Professional		$516.36	$547.92	$584.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,214.00 / $2,799.90 / $5,438.27	Facility		$1,214.00	$2,799.90	$5,438.27
United Facility/Professional Professional Modifier Low / Median / High Price $474.92 / $663.46 / $1,106.58	Professional		$474.92	$663.46	$1,106.58